[Case of Wegener's granulomatosis associated with mediastinal lymphadenopathy].
A 54-year-old asymptomatic man was admitted to our hospital because his abnormal chest radiograph finding became worse. A chest radiograph and a chest computed tomography showed a mass in the right upper lobe and mediastinal lymphadenopathy. Thoracoscopic partial lung resection was performed. The specimens showed vasculitis and geographic basophilic necrosis palisading histiocytes and neutrophils. Wegener's granulomatosis was diagnosed. After resection, mediastinal lympahdenopathy was gradually improved in spite of no drug therapy. We report a rare case of Wegener's granulomatosis associated with lymphadenopathy.
Isobe
Zen
Z
Department of Respiratory Medicine, Gunma University School of Medicine.
Suga
Tatsuo
T
Aoki
Yasuhiro
Y
Aoki
Fumiaki
F
Ikeda
Kana
K
Ueno
Manabu
M
Maeno
Toshitaka
T
Kurabayashi
Masahiko
M
D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008206:Lymphatic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D011013:Pneumonectomy; D012075:Remission, Spontaneous; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed